Immigration Medical Exam: What to Expect and Tips

The I-693 Medical Exam: What You Need to Know

Every green card applicant must complete the I-693 medical examination performed by a USCIS-designated civil surgeon. This is a non-negotiable requirement whether you are filing through adjustment of status or consular processing. Here is exactly what to expect so you can walk in prepared.

What the Doctor Checks

The civil surgeon performs a standard physical examination including height, weight, blood pressure, and vital signs. They check for physical and mental health conditions that could make you inadmissible, including tuberculosis (mandatory TB test via blood test or chest X-ray), syphilis (blood test), and gonorrhea. They also review your vaccination history and administer any required vaccinations you are missing.

Required Vaccinations for Green Card

USCIS requires all age-appropriate vaccinations from the CDC schedule. For adults, this typically includes: MMR (measles, mumps, rubella), varicella (chickenpox), tetanus/diphtheria/pertussis (Tdap), polio, hepatitis A, hepatitis B, influenza (seasonal), COVID-19, pneumococcal, and meningococcal. If you already have records showing previous vaccinations, bring them — it saves money and avoids unnecessary duplicate shots.

How Much It Costs

The medical exam itself costs $200 to $500 depending on the civil surgeon and location. Vaccinations are additional and can add $100 to $500 if you need multiple shots. Some civil surgeons offer package deals. This cost is NOT reimbursed by USCIS and is separate from all filing fees. See our breakdown in Hidden Costs of Immigration.

Tips for a Smooth Exam

Bring your vaccination records, passport, I-94, and a government-issued photo ID. Wear short sleeves for blood draws. If you take prescription medications, bring the bottles. The exam results (sealed Form I-693) are valid for 2 years from the date of the civil surgeon's signature. Do NOT open the sealed envelope — submit it sealed with your I-485.